Blind intubation device for nasotracheal intubation in 100 oral and maxillofacial surgery patients with anticipated difficult airways: a prospective evaluation
| Autor: | Ye-Sen Zhu, Yan Huang, Hui Xu, Yu Sun, Hong Jiang |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Oral Surgical Procedures Prospective evaluation Young Adult Intubation Intratracheal Humans Medicine Intubation Prospective Studies Prospective cohort study Lighting Aged Nasotracheal intubation Adult patients business.industry Middle Aged Surgery Airway Obstruction Treatment Outcome Anesthesiology and Pain Medicine Anesthesia Oral and maxillofacial surgery Female Airway management Clinical Competence Nasal Cavity business |
| Zdroj: | European Journal of Anaesthesiology. 26:746-751 |
| ISSN: | 0265-0215 |
| DOI: | 10.1097/eja.0b013e32832b13a2 |
| Popis: | The blind intubation device is a newly developed light-guided intubation device for difficult nasotracheal intubation. The aim of this study was to evaluate its performance in adult patients with anticipated difficult airways.One hundred consecutive patients who required general anaesthesia with nasotracheal intubation for elective oral and maxillofacial surgery between March 2008 and August 2008 were recruited. In each case, the time for oesophagus airway successful placement, the attempts of the light-guiding catheter insertion into the trachea, the attempts of the endotracheal tube intubation over the light-guiding catheter and the time from the oesophagus airway placement to the completion of endotracheal intubation were recorded. The associated complications were also recorded.Fifty-nine male and 41 female patients were studied. Each of the patients had at least temporomandibular joint ankylosis, maxillary and mandibular fracture, oral cancer, obstructive sleep apnoea syndrome, mandibular hypoplasia and micrognathia and cervical tumour. The oesophagus airway was directly inserted into the trachea in six patients. The placement of the oesophagus airway was successful in remaining 94 patients. The median (interquartile range) time for the oesophagus airway placement was 47 (25-178) s. The overall success rate of the light-guiding catheter insertion was 95.0%. The overall success rate of the ETT intubation over the light-guiding catheter was 95.0%. The median (interquartile range) time for complete tracheal intubation process was 194 (22-380) s. There was no episode of hypoxaemia during tracheal intubation. In 28 (29.5%) of our patients, there was a small amount of blood present in the tip of the oesophagus airways or around the inner wall of the endotracheal tubes. No serious epistaxis was found either.We have demonstrated the safe and effective use of the blind intubation device in 100 adult patients with anticipated difficult airways. The overall success rates of the oesophagus airway placement, the light-guiding catheter insertion and nasotracheal intubation over the light-guiding catheter were really satisfied. This technique could improve the success of blind nasal intubation, especially in situations in which fibreoptic equipment was unavailable. However, further studies are still required. |
| Databáze: | OpenAIRE |
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